Assessment
A detailed history, then a thorough examination of movement, strength and the affected area. You leave knowing what is wrong, why it happened, and exactly what we are going to do about it.
Concern
Sports Injury Treatment in London
Pain settling is not the same as being ready. We rebuild strength and test you against objective return-to-sport criteria so you come back stronger, not just pain-free.
Our sports injury team
Overview
Understanding sports injuries
Sports injuries fall into two kinds: acute injuries from a single event, like an ankle sprain or hamstring strain, and overuse injuries where load has outpaced the tissue, like tendinopathy or bone stress. The temptation with both is to wait until it stops hurting and pick up where you left off, but pain settling is not the same as being ready.
When is it safe to return to sport?
When objective criteria say so. We rebuild strength and tolerance step by step, then test against return-to-sport criteria such as restored strength, symmetry and sport-specific function. This reflects BJSM consensus, which identifies rushing this stage as a driver of re-injury. Sam Harvey's elite-sport background and VALD testing let us measure that readiness objectively.
We treat active people and athletes across our Soho, Liverpool Street and Marylebone clinics. Self-referral; no GP letter needed, and a free 15-minute consultation is available.
Why it happens
What causes sports injuries?
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Acute mechanical overload: a single high-force event such as a sprint, jump landing, change of direction, awkward fall, or contact
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Cumulative overuse: training volume or intensity rising faster than the tissue can adapt, driving tendinopathy and bone-stress injuries
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Returning to sport too soon after a previous injury, leaving residual weakness or altered movement
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Strength, mobility, or control deficits up the kinetic chain (commonly hip, gluteal, calf, or trunk)
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Sudden change in footwear, playing surface, or training pattern without an adaptation period
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Inadequate warm-up, recovery, or sleep, which lower the tissue's tolerance to load
Physiotherapy for sports injuries can help to:
Get the diagnosis right first
An ankle sprain, a hamstring strain and a bone-stress injury each need a different plan, and the wrong label costs you a season. We assess the injury and the demands of your sport, screen for anything needing imaging or referral, and set the plan from there.
Keep you training around the injury
Complete rest is rarely the answer. We modify your training: reducing intensity, swapping high-impact work, loading around the injured tissue, so you keep your fitness while the injury settles. You will know exactly what to keep doing, what to change and what to pause.
Rebuild the capacity the tissue lost
Once pain settles, structured strength work restores what the injury took: strength, control and load tolerance, built back step by step. This is the stage that most reliably restores robustness and cuts the risk of doing the same injury twice.
Measure your readiness with VALD testing
Return-to-sport decisions here rest on objective criteria: restored strength, limb-to-limb symmetry and sport-specific function, measured on VALD force plates and dynamometry. The BJSM consensus identifies rushing this stage as a driver of re-injury, so we test rather than guess.
Break the re-injury pattern
A previous injury without full clearance is the classic set-up for the next one. We find the residual weakness or control deficit left behind, up the kinetic chain where needed, and close it off before you go back to full speed.
Come back stronger than you left
Pain settling is not the same as being ready. The programme finishes when you can meet the sprint, cutting, jumping or single-leg demands of your sport without symptoms, with the numbers to prove it. That is the difference between returning and returning for good.
At your first appointment we look for the cause: your history, how you move, and what your work, sport and life ask of your body.
The assessment covers a detailed history and a thorough examination of movement, strength and the affected area. We explain what we find and agree a working diagnosis and plan you understand before you leave.
You go home with a written summary and a home-exercise programme built around your diagnosis and goals, so progress continues between visits.
From pain to performance. Pain relief that lasts is not enough on its own: we rebuild the strength behind the pain so it stays gone.
- Three central London clinics: Soho, Liverpool Street and Marylebone, plus home visits across London and online sessions.
- Led by physiotherapist Sam Harvey: 15 years of clinical practice and an elite-sport background across football, rugby and GAA.
- Physiotherapy, strength and nutrition under one roof: three clinicians, three disciplines, joined-up care.
Fees and booking
You can self-refer and book directly: no GP letter needed, and every new patient can start with a free 15-minute consultation call. The same fees apply across our Soho, Liverpool Street and Marylebone clinics.
- Physiotherapy: a full 60 minutes for £145, whether it is your first visit or a follow-up
- 30-minute follow-ups at £90, with video appointments from £70
- Strength training and Reformer Pilates £120, sports massage from £75
- VALD performance and strength testing with a written report, £195
- 5% off a block of five sessions, 10% off a block of ten
- An itemised receipt with every session, for claiming back where your policy covers physiotherapy
Your journey
with Physio and Performance
Everything starts with finding the cause. Whether the goal is a marathon start line or a week at your desk without pain, we treat what is driving the problem, then build the strength that keeps it fixed.
Treatment
Hands-on manual therapy combined with a progressive, tailored exercise programme. Sports massage, dry needling, shockwave or Reformer Pilates are added where they help your specific problem.
Rebuild
Coached, progressive strength work restores the load tolerance your body lost, paced to where you start. This is the stage that decides whether the fix lasts.
Perform
Each follow-up reassesses you against your baseline, with VALD testing where useful, so your return to work, sport or training rests on measured readiness. Discharge happens by mutual agreement when you can manage independently.
We specialise in:
- Physiotherapy and sports rehabilitation
- Coached strength and conditioning
- Reformer Pilates
- Sports massage and soft-tissue therapy
- Dry needling and shockwave therapy
- VALD performance and strength testing
- Post-operative rehabilitation
- Running and gait analysis
- Sports nutrition and dietetics
Treatment approach
How do we treat sports injuries?
Physiotherapy & Sports Rehabilitation
£145Accurate diagnosis, hands-on treatment and a graded loading plan are the core of recovery for almost every sports injury, with progress tracked against objective return-to-sport criteria rather than how it feels.
See treatment detail →Strength Training
£120Structured, progressive strength work rebuilds the capacity and control the tissue lost: the stage that most reliably restores robustness and reduces the risk of re-injury once pain has settled.
See treatment detail →VALD Performance & Strength Testing
£195VALD strength and performance testing gives objective limb-to-limb and sport-specific data, so return-to-sport decisions rest on measured readiness rather than guesswork.
See treatment detail →FAQ
Frequently asked
questions
Should I rest a sports injury or keep training?
Complete rest is rarely the right answer. Modified training: reducing intensity, swapping high-impact for low-impact work and loading around the injured tissue, usually supports recovery better and preserves fitness. Your physiotherapist will tell you what to keep doing, what to modify and what to pause while the tissue settles and rebuilds.
How do you decide when I am ready to return to sport?
We test against objective return-to-sport criteria rather than discharging on how it feels. That means restored strength and limb-to-limb symmetry, good movement control, and the ability to handle sport-specific demands: sprinting, cutting, jumping or single-leg load, without symptoms. Skipping these stages is a recognised driver of re-injury.
How long until I can return to my sport?
It depends on the injury. Mild strains and overuse problems often allow modified training within a week and fuller return over several weeks; tendon and bone-stress injuries typically need longer phases of progressive loading. We set a provisional timeline at your first session and update it at each reassessment, based on objective markers.
Do I need a scan before starting physiotherapy?
For most sports injuries, no. Clinical assessment usually guides management of soft-tissue injuries well, and routine scans often show incidental findings that complicate decisions without changing treatment. Imaging is appropriate after significant trauma, when red-flag signs are present, or when symptoms do not follow the expected recovery course.
Related Concerns
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Physio and Performance • 111 Charing Cross Road, Soho, London WC2H 0DT
BookAppointments typically available within 1–2 weeks